Provider Demographics
NPI:1851056717
Name:AMITY ROSE HOME HEALTH INC
Entity Type:Organization
Organization Name:AMITY ROSE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:INOUYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-310-0778
Mailing Address - Street 1:1919 MCKINNEY AVE STE 100 OFFICE 1009
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201
Mailing Address - Country:US
Mailing Address - Phone:682-310-0778
Mailing Address - Fax:
Practice Address - Street 1:1919 MCKINNEY AVE STE 100 OFFICE 1009
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201
Practice Address - Country:US
Practice Address - Phone:682-310-0778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-05
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health